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Doctor insights on: What Is A Stress Echo Test

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What would an echo stress test show....That a regular echo test doesn't?

What would an echo stress test show....That a regular echo test doesn't?

Change w/exercise : When excercised, or 'stressed', the heart needs more oxegen to function properly than at rest. If it's not getting that increase, the muscle will start to move in abnormal ways, which will show up on the echo. At rest, because it needs less oxegen, it may be getting enough, so it will look normal then. ...Read more

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Dr. Heidi Fowler
3,099 doctors shared insights

Stress (Definition)

Stress affects most people in some way. Acute (sudden, short-term) stress leads to rapid changes throughout the body. Almost all body systems (the heart and blood vessels, immune system, lungs, digestive system, sensory organs, and brain) gear up to meet perceived danger. These stress responses could prove beneficial in a critical, life-or-death situation. Over time, however, repeated stressful situations put a strain on the body that may contribute to physical and psychological problems. Chronic (long-term) stress can have real health consequences and should be addressed like any other health concern. Fortunately, research is showing that lifestyle changes and stress-reduction techniques can help people learn ...Read more


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How accurate is a stress echo test? Checking.For heart disease and blockages ? Is it efficient ?

How accurate is a stress echo test? Checking.For heart disease and blockages ? Is it efficient ?

A good test: But it is only suggestive and cannot tell you whether you have any coronary artery disease. It does give great information about heart size, function, and generalized blood flow under physical stress but does not define the anatomy of the coronary artery system. At your age and without congenital heart disease would doubt there is a serious issue. ...Read more

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Can a stress echo test pick up minimal blockage ? I am 25 years old and i got to 185 bpm...How sensitive are they?

Can a stress echo test pick up minimal blockage ? I am 25 years old and i got to 185 bpm...How sensitive are they?

No: Stress studies are designed to pick up a physiologically significant coronary obstruction (which produces a supply:demand imbalance when cardiac workload is high). This typically occurs when a coronary obstruction reaches 70% occluded in severity. ...Read more

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Have a stress echo coming up. Will working out beforehand to prepare improve test results ?

Have a stress echo coming up. Will working out beforehand to prepare improve test results ?

Not recommended: Depends on your cardiovascular fitness and your overall health profile. Usually you want to be tested as close to your baseline as possible because you are exercising your heart to exhaustion. It's usually not easy and you are asked to push your heart and body to the limit to see if your heart is experiencing oxygen hunger at that level. It may also give the examiner a false resting EKG and BP. ...Read more

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Should I get seconds if tests if I am still experiencing symptoms? Normekg,stress,echo,holter.Age28,no family hist,non smoker.move on to next cause?

Should I get seconds if tests if I am still experiencing symptoms? Normekg,stress,echo,holter.Age28,no family hist,non smoker.move on to next cause?

Other things: perhaps get assessed for anxiety. you could start by doing the Zung SAS scale which you can find online. if it fits, then maybe talk with your pcp about a referral to a psychiatrist. ...Read more

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How rare is it for a man age 25-30 to have a MI?If they did, would it be because of genetics?Does it make it more rare with norm stress & echo tests?

How rare is it for a man age 25-30 to have a MI?If they did, would it be because of genetics?Does it make it more rare with norm stress & echo tests?

MI: It is very rare for a man in that age group to have an MI unless it were due to a heart condition or the use of drugs, mainly cocaine. If your stress test and echo are fine and you live a healthy lifestyle your chances of a cardiac event are very rare. Relax ...Read more

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Had routine stress/echo test which showed no ST depression and good contractility. But had peaked T waves at maximum excercise. Significant?

Had routine stress/echo test which showed no ST depression and good contractility.  But had peaked T waves at maximum excercise.  Significant?

Peaked T waves: Only the Drs ordering and interpreting this test can give you the best advice. There is no such thing as a routing stress echo test. Why was it done? ...Read more

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I felt little dizzied like passing out during my stress echo test. However all my results came normal and o2 saturation were 98-99. Is that normal?

I felt little dizzied like passing out during my stress echo test. However all my results came normal and o2 saturation were 98-99. Is that normal?

Probably OK: many people are a little anxious doing a stress echo test. Between the anxiety and the exercise some people actually hyperventilate a little during the test and this can result in the sensation of lightheadedness. ...Read more

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What's the difference between a lexiscan stress test & a stress echo dobutamine test? I have had the lexiscan before.

What's the difference between a lexiscan stress test & a stress echo dobutamine test? I have had the lexiscan before.

Nuclear/ Echo stress: Lexiscan stress generally performed with nuclear isotope, which shows blood circulation(perfusion), comparing with medication lexiscan(stressing heart) and at rest. Dobutamine echo we are looking at wallmotion of heart with medication dobutamine( stressing heart )and at rest to see they show any differences to detect blockages ...Read more

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My echocardiogram and my ECG were normal, so what are the chances of my Stress ECHO being normal If I did the test? High right?

My echocardiogram and my ECG were normal, so what are the chances of my Stress ECHO being normal If I did the test? High right?

Likely normal: It's likely to be normal but not for the reasons you list. Because you're 24, the incidence of coronary disease is very low, so your test will probably be normal. However it's entirely possible to have a nl resting echo and nl EKG and an abnormal stress echo which is specifically looking for evidence of inadequate circulation. The resting tests are relatively insensitive to that. ...Read more

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Been having mild syncope when sitting and standing. My cardiologist ordered a stress echo but do i need a tilt table test instead?

Been having mild syncope when sitting and standing. My cardiologist ordered a stress echo but do i need a tilt table test instead?

Syncope: At your age I think the stress echo is critical.Could be subtle structural heart abnormality. Tilt table is usually to evaluate orthostatic hypotension, tachycardia, if it were positive you would do the echo anyway because t is the underlying cardiac abnormality that is treated..When ever there is a cardiac concern (and syncope raises that concern)the first test is echo, look at the heart.. ...Read more

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If I did 10 Mets on 3 different stress echo test, how accurate would the test be? Within a 5 year period. Could it miss CAD or anything else?

If I did 10 Mets on 3 different stress echo test, how accurate would the test be? Within a 5 year period. Could it miss CAD or anything else?

Unlikely: If you were able to do 10 METS on 3 different echo test you are probably healthier than most of my colleagues. very unlikely you have significant CAD Cheers C ...Read more

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How does a heart attack occur?Why does the plaque break off?Why this is less likely in young adults 27-35?Esp with norm stress/echo tests/no fam hist

How does a heart attack occur?Why does the  plaque break off?Why this is less likely in young adults 27-35?Esp with norm stress/echo tests/no fam hist

A-: 1- block blood vessels that supply the heart with oxygen and nutrients. 2- because of the flow of blood, it hit on the plaque and it will break. 3-they have less plaques formed in average. 4- risk factors like family history tells you about the predisposition to form plaque. The space is too limited to go in detailes, but I hope this help. ...Read more

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200lb, active. Rcntly, had palpitations over 4 days, ECG was 'normal'.But cardiologiest suspects av dissociation. Could this be benign or serious? Palp gone now, on event mtr.Stress echo test pending.

Palpitations: It sounds like you are receiving the correct work-up with ecg, stress echo, and event monitor. You should already have had blood tests for electrolytes, thyroid, and red blood counts. If the tests all come back normal, and your palpitations continue, then you may need to wear the event monitor longer to see if it picks up any arrhythmias.Could be serious if any associated chest pain or dizziness. ...Read more

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Besides a cardiac cath test what are the best tests to check if your heart is healthy ? Stress echo & calcium scoring ?

Besides a cardiac cath test what are the best tests to check if your heart is healthy ? Stress echo & calcium scoring ?

Hard questions: And at your age you must have some reason to believe there is a problem with your heart. Why don't you schedule a visit with your doctor and discuss that and any risk factors you may have for premature heart disease. A discourse on various cardiac tests is academic without specific issues and objective findings. ...Read more

Dr. Shari Jackson
2 doctors shared insights

Echo (Definition)

An echocardiogram (also called an echo) is a type of ultrasound test that uses high-pitched sound waves that are sent through a device called a transducer. The device picks up echoes of the sound waves as they bounce off the different parts of your heart. These echoes are turned into moving pictures of your heart that can be seen ...Read more